Structured communication intervention to reduce anxiety of family members waiting for relatives undergoing surgical procedures

Kynoch, Kathryn; Crowe, Linda; McArdle, Annie; Munday, Judy; Cabilan, C.J.; Hines, Sonia

doi:10.26550/2209-1092.1013

Cited by 9 publications

(20 citation statements)

References 14 publications

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“…When reviewing literature, we identified very few current studies that addressed the experiences of families waiting for surgical patients, and most focused on family anxiety 3,8,9 . The results of two quantitative studies involving the use of communication cards to reduce the anxiety of family members of patients undergoing surgery were mixed 3,8 . Researchers in Australia found that the anxiety scores of the intervention group were not significantly different from the control group 3 .…”

Section: Background and Significancementioning

confidence: 99%

“…Waiting during surgery is often a stressful experience for family members and significant others 2 . When providing patient and family‐centered care, nurses should understand that patients may consider the individuals who are waiting for them during surgery to be family members 3 and the waiting individuals have personal needs that nurses can address 4 . To provide comprehensive family care, perioperative nurses should have an understanding of the factors that shape the meaning of the waiting experience for families of patients undergoing surgery.…”

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confidence: 99%

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Exploring the Lived Experience of Families Waiting for Surgical Patients: A Qualitative Study

Pustinger¹,

Burchill²,

Stetz³

et al. 2022

AORN Journal

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Family‐centered care is an important aspect of perioperative nursing, especially during the perioperative waiting period that separates patients from their families or significant others. However, there is a lack of understanding on what waiting means to family members or significant others. In this hermeneutic phenomenological study, we explored the lived experiences of family members waiting for surgical patients. We identified a shared experience during waiting that we called a “time to focus on self.” We identified five supporting themes that shaped this meaning of waiting: the environment, activities, communication, expectations, and feelings. The perioperative waiting experience may be a necessary time of self‐reflection and self‐care for family members when responsibilities for loved ones are temporarily on hold. Perioperative nurses can provide family‐centered interventions to address the physical and emotional needs of individuals who are waiting and improve their experience.

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Section: Background and Significancementioning

confidence: 99%

mentioning

confidence: 99%

Exploring the Lived Experience of Families Waiting for Surgical Patients: A Qualitative Study

Pustinger¹,

Burchill²,

Stetz³

et al. 2022

AORN Journal

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“…Intervenções comunicacionais com famílias de pacientes cirúrgicos tem se mostrado eficientes na diminuição da ansiedade. Orientações pré-cirúrgicas foram oferecidas por meio de um cartão de informação que continha data do procedimento, explicação e duração aproximada da cirurgia, informações sobre o local de espera, comodidades disponíveis e atualização do estado de saúde do paciente 25 .…”

Section: [] Conforme a Gente Foi Fazendo O Biscuit A Gente Vai Fiunclassified

Vivências de famílias de crianças em intraoperatório: a arte como possibilidade de cuidado [Experiences of families of children in intraoperative period: art as a care option] [Vivencias de familias de niños en intraoperatorio: el arte como posibilidad de cuidado]

2019

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Objetivo: compreender as vivências de famílias de crianças em período intraoperatório, participantes de oficina de biscuit. Método: pesquisa qualitativa, modalidade fenomenológica, realizada em um hospital público, de ensino, localizado no estado de São Paulo, com 13 famílias de crianças em período intraoperatório, após aprovação do comitê de ética, parecer número 2253964. Resultados: as famílias revelaram que o período intraoperatório é o mais crítico, repleto de expectativas sobre o sucesso e/ou insucesso da cirurgia. No entanto, ao participarem da oficina de biscuit, as famílias perceberam novos sentimentos, como calma, tranquilidade, relaxamento, distração e troca de experiências entre as famílias. O uso da arte foi considerado um modo de cuidado à família e seu reconhecimento mobilizou sentimento de gratidão nessas famílias. Conclusão: a oficina de biscuit possibilitou a manifestação de sentimentos positivos, além do reconhecimento desta intervenção como sendo um modo de cuidado à família.ABSTRACTObjective: to understand the experiences of the families of children in the intraoperative period, who were participating in a cold porcelain workshop. Methodology: this phenomenological, qualitative study was conducted at a public teaching hospital in São Paulo state with 13 families of children in the intraoperative period, after research ethics committee approval (Opinion No. 2253964). Results: the families revealed that the intraoperative period is the most critical, and full of expectations about the success and/or failure of surgery. However, by participating in the cold porcelain workshop, the families perceived new feelings of calm, tranquility, relaxation, distraction and sharing of experiences among families. Using art was considered a way of caring for the family, and recognition of that brought out a feeling of gratitude in these families. Conclusion: the cold porcelain workshop allowed people to express good feelings, as well as the acknowledgement that this was a way of caring for the family.RESUMENObjetivo: comprender las vivencias de familias de niños en periodo intraoperatorio, participantes de taller de biscuit. Metodología: investigación cualitativa, modalidad fenomenológica, realizada en un hospital público, de enseñanza, localizado en el estado de São Paulo, con 13 familias de niños en periodo intraoperatorio, después de aprobación del comité de ética, dictamen número 2253964. Resultados: las familias revelaron que el periodo intraoperatorio es el más crítico, repleto de expectativas sobre el éxito y/o fracaso de la cirugía. Sin embargo, al participar del taller de biscuit, las familias percibieron nuevos sentimientos, como calma, tranquilidad, relajación, distracción e intercambio de experiencias entre las familias. El uso del arte fue considerado un modo de cuidado a la familia y su reconocimiento ocasionó un sentimiento de gratitud en esas familias. Conclusión: el taller de biscuit posibilitó la manifestación de sentimientos positivos, además del reconocimiento de esta intervención como siendo un modo de cuidado a la familia.

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“…As described by Wrigley (2015), vulnerability is "generally taken to designate a special state that an individual or group has, but in a way that generates an action guiding requirement to pay extra attention to their wellbeing" (p. 478). Surgical patients face unique circumstances that can alter either their physical or emotional state (Kynoch et al, 2017). Surgery is not an everyday occurrence and regardless of this being planned or urgent, surgery is a significant life event (Kynoch et al, 2017).…”

Section: Patient Vulnerabilitymentioning

confidence: 99%

“…Surgical patients face unique circumstances that can alter either their physical or emotional state (Kynoch et al, 2017). Surgery is not an everyday occurrence and regardless of this being planned or urgent, surgery is a significant life event (Kynoch et al, 2017). Whilst any illness or disease can cause distress, impending surgery is known to cause elevated levels of fear and anxiety in patients (Carr, Thomas & Wilson-Barnett, 2004;Mitchell, 2013).…”

Section: Patient Vulnerabilitymentioning

confidence: 99%

New Zealand nurses use of humour in surgical nursing practice

Krogt¹

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<p>Humour is a tool that can build rapport, establish communication and enable a therapeutic relationship: all of which are essential skills for nurses. For nurses to use humour in their practice they need to know when it is appropriate and when it could be beneficial for patients. However, much of the literature on nursing humour focusses on when not to use humour or provides contradictory messages about the use of humour. This is problematic as with little guidance, nurses may be hesitant to deploy humour with patients, potentially missing important opportunities to deliver more effective care. The lack of evidence-based guidance about use of humour for nurses was a key driver for this study. Furthermore, with even less research in the surgical care setting, a stressful environment for patients and staff, the need to explore how and when humour is used in surgical nursing practice was important. A qualitative descriptive methodology was used to explore how registered nursing working in a surgical environment decide when and how to use humour within nurse-patient interactions, and the use of humour during nurse-patient communication is assessed. Data collection was carried out in two surgical wards within a single site tertiary hospital in New Zealand. Nine registered nurses participated in group or individual interviews that were conducted using an interview guide incorporating semi-structured questions. Data were analysed thematically. Findings demonstrate the humour is a significant feature of practice for surgical nurses with its use being purposeful and undertaken after careful consideration and assessment. Within three themes (assessing openness, building a connection, protection against vulnerability), humour was described as enabling nurses to quickly connect with patients and establish a therapeutic relationship. Humour facilitates communication, even under difficult circumstances, and provides an outlet for the perceived physical and emotional vulnerability experienced by both patients and nurses within the surgical environment. Humour forms an integral part of surgical nursing practice. This thesis challenges surgical nurses to place an emphasis on raising the profile of humour in practice and develop skills to assess when to use, and when not to use humour. This will require the development of specific educational and professional strategies.</p>

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Structured communication intervention to reduce anxiety of family members waiting for relatives undergoing surgical procedures

Cited by 9 publications

References 14 publications

Exploring the Lived Experience of Families Waiting for Surgical Patients: A Qualitative Study

Exploring the Lived Experience of Families Waiting for Surgical Patients: A Qualitative Study

Vivências de famílias de crianças em intraoperatório: a arte como possibilidade de cuidado [Experiences of families of children in intraoperative period: art as a care option] [Vivencias de familias de niños en intraoperatorio: el arte como posibilidad de cuidado]

New Zealand nurses use of humour in surgical nursing practice

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